62. THE IMPACT OF A MULTI-MODAL RESIDENCY CURRICULUM TO PROVIDE RESIDENTS WITH DATA ON THEIR PRACTICE HABITS

Abstract

Background The Accreditation Council on Graduate Medical Education (ACGME) requires that residency programs regularly provide trainees with data on their practice habits (DOPH). Many programs including ours have struggled to deliver meaningful DOPH to trainees. Methods We created a DOPH curriculum following Kern's six-step approach and evaluated its impact using quality improvement methodology. We conducted a needs assessment, defined project goals, and convened a group of stakeholders representing the residents, residency program, GME office, and hospital. Interventions were implemented over two years (Figure 1) and were continuously assessed using plan-do-study-act (PDSA) cycles to evaluate curriculum impact on 2 levels of Kirkpatrick's framework. Behavior change process measures selected were provision of individualized and group resident DOPH data. The high stakes outcome measure of ACGME resident survey DOPH rating was evaluated annually. Results Following a needs assessment, the interventions chosen were providing: 1) individualized resident reports in inpatient and outpatient settings (note productivity, diagnoses seen, developmental and depression screening), 2) group reports in inpatient and outpatient settings (residency and hospital-wide data), and 3) consistent DOPH messaging. Educational strategies for content sharing included housestaff meetings, semiannual reviews, email, and newsletters. By fall 2019, 99% of residents were provided individualized data on note productivity and diagnoses seen and 94% were provided ambulatory data on developmental and depression screening rates. During 2018-2019, group DOPH was presented in > 16 housestaff meetings. ACGME resident survey DOPH scores by year were 2.1 (2016), 1.8 (2017), 2.4 (2018), and 4.9 (2019). Conclusion We successfully created a DOPH curriculum incorporating individualized and group data in both inpatient and outpatient settings. These interventions yielded a substantial increase in the ACGME resident survey DOPH rating. We recommend a multi-modal educational strategy for programs seeking ways to provide DOPH.